Pine Rest Christian Mental Health Services in Grand Rapids - Addiction Medicine
Pine Rest Christian Mental Health Services - NPI 1487837506
Pine Rest Christian Mental Health Services is a Addiction Medicine in Grand Rapids, Michigan. Pine Rest Christian Mental Health Services practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Pine Rest Christian Mental Health Services is 1487837506. The last update date is 2020-11-04.
Pine Rest Christian Mental Health Services's current location address is 300 68th St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6164555000. The mailing address for Pine Rest Christian Mental Health Services is 300 68th St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Pine Rest Christian Mental Health Services |
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Address | 300 68th St Se, Grand Rapids, Michigan |
Phone Number | 6164555000 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MANAGED CA |
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Authorized Official Name | Fennema Diane |
Telephone Number | 6162816372 |
NPI Number Detail
NPI Number | 1487837506 |
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Provider Enumeration Date | 2007-12-12 |
Last Updated Date | 2020-11-04 |
Provider Mailing Address Detail
Address | 300 68th St Se |
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City | Grand Rapids |
State | Michigan (MI) |
Post Code | 495486927 |
Phone Number | 6164555000 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Addiction Medicine |
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Taxonomy | 207Ra0401X |
Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
OD16083 | MI | BC/BS PSYCHIATRY-MULTI SP | |
OD16222 | MI | BC/BS SOCIAL WORKER | |
OD14837 | MI | BC/BS GNERAL MEDICINE | |
OD17625 | MI | BC/BS PSYCHIATRY | |
OD16189 | MI | BC/BS PSYCHOLOGIST | |
OD11275 | MI | BC/BS MA, LLP, DOCTORAL | |
OD11133 | MI | BC/BS NURSE PRACTIONER | |
OD14836 | MI | BC/BS PEDIATRICS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Pine Rest Christian Mental Health Services by the Centers for Medicare & Medicaid Services?
The Pine Rest Christian Mental Health Services has been assigned the NPI (National Provider Identifier) 1487837506 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Pine Rest Christian Mental Health Services?
The Pine Rest Christian Mental Health Services is physically situated at 300 68Th St Se, in the city of Grand Rapids, state of MI, with the postal code 495486927.
What is the area of specialization for Pine Rest Christian Mental Health Services, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pine Rest Christian Mental Health Services is Addiction Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Ra0401X.
On what date did the Pine Rest Christian Mental Health Services receive its 1487837506 assignment from the Centers for Medicare & Medicaid Services?
The Pine Rest Christian Mental Health Services was assigned its 1487837506 by the Centers for Medicare & Medicaid Services on 2007-12-12.
When was the information pertaining to Pine Rest Christian Mental Health Services most recently updated or revised?
The details related to Pine Rest Christian Mental Health Services, including its address, specialty, and other relevant information, were last updated or revised on 2020-11-04.